Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

125th Street Nm Corp

Organization Specialist · NPI 1619352283

125th Street Nm Corp provides Specialist services in North Miami, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
Specialties on file
3
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

505 NE 125th St
North Miami, FL 33161-4718 Not confirmed with CMS for 10 years — call before visiting
Phone: (954) 271-0485
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Psychiatry Physician (primary) Taxonomy 2084P0802X
Specialist Taxonomy 174400000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence PMC20 (FL)

Record details

NPI number1619352283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Douthat — Cdo · (954) 271-0485
NPI enumeratedJuly 24, 2015
Last updated in NPPESApril 7, 2016
Mailing address505 Ne 125th St, North Miami, FL 33161-4718

Other providers in North Miami